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New Hampshire rates for HCPCS J1746

Injection Ibalizumab-Uiyk 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.39 / $79.39 / $158.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.47 / $142.66 / $359.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $79.26 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.16 / $128.72 / $244.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $114.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.23 / $75.06 / $95.54